Table 1 Elements of relational coordination of shared decision making implemented in Office-GAP
High quality | ||
|---|---|---|
Communication is… | Office GAP Program element | Measured by |
Frequent | Office visits w/GAP checklist | Use of checklist |
Accurate | Decision support tools | Use of ADA/ACPaand Health Dialog decision Aidsb |
Problem solving | Self-management programs; | Referrals to community programb |
Group visit, checklist | Observation/Interviewb | |
Provider-Patient | ||
Relationships include… | ||
Shared goals | Checklist | COMRADE39 |
Shared knowledge | Decision support tools | Signed copies by patient and provider |
Mutual respect | Group visit checklist form | COMRADE39 |
Patient-Provider | ||
Relationships result in… | ||
Enhanced understanding of | “Here’s where we are today” | Use of checklist |
Pros and cons of treatments | ||
Confidence in care plan | “We are on the right track” | COMRADE39 |